The Automobile Accident Insurance Act

160  Download (0)

Full text

(1)

The

Automobile Accident

Insurance Act

being

Chapter A-35

of The Revised Statutes of Saskatchewan, 1978

(effective February 26, 1979) as amended by the Statutes of

Saskatchewan

, 1979, c.69; 1979-80, c.92; 1980-81, c.34 and 83;

1982-83, c.16 and 22; 1983, c.66, 80 and 82; 1983-84, c.1, 16 and

54; 1984-85-86, c.1 and 47; 1986, c.1 and 33; 1986-87-88, c.29;

1988-89, c.37, 42, 44, 54 and 55;

1989-90, c.15

;

1990-91, c.35

;

1992, c.20

;

1994, c.34

;

1996, c.9

;

1997, c.S-50.11

and

12

;

1998,

c.18

;

2000, c.A-5.3

,

I-2.01

and

5

;

2001, c.33

;

2002, c.44

;

2004,

c.L-16.1

,

T-18.1

and

35

;

2005, c.5

;

2006, c.25

;

2011, c.3

;

2012, c.14

;

2013, c.S-15.1,

W-17.11

and

c.27

;

2014, c.E-13.1;

and

2015, c.21.

NOTE:

This consolidation is not official. Amendments have been incorporated for convenience of reference and the original statutes and regulations should be consulted for all purposes of interpretation and application of the law. In order to preserve the integrity of the original statutes and regulations, errors that may have appeared are reproduced in this consolidation.

(2)

Table of Contents SHORT TITLE 1 Short title INTERPRETATION 2 Interpretation of act PART I

Application for Insurance and Certificate 3 Issue of licences, certificates, etc., under Vehicle

Administration Act conditional 4 Application for insurance 5 Basic rates

6 Safety rating assessment 7 Notice of changes to safety ratings 7.1 Sending of written notices 7.2 Appeals of safety rating to board 7.3 Hearing of appeal by board 7.4 Appeal not to stay decision 7.5 Proof

8 Power to vary rates 9 Repealed

10 Rates Appeal Board

10.1 Appeal of additional premium to board

11 Appeal pursuant to section 10.1 not to stay decision 11.1 Deduction of moneys owing

12 Issue of certificate, motor vehicle liability insurance cards 13 Non-issue of certificate in certain case

14 Repealed

15 Effect of cancellation of registration, etc. 16 Expiration of certificate

17 Conditions of certificate issued with permit 17.1 Certain certificates not valid after July 31, 1999 18 Owner insured in another jurisdiction

19 Power to except certain non-residents from application of Act PART II

Bodily Injury Benefits DIVISION 1

Application of Part and General Benefits 20 Application of Part

20.1 Bodily injury benefits

21 Medical or rehabilitation benefits DIVISION 2 Weekly Benefits

22 Total disability for employed persons within 104 weeks 22.1 Partial disability for employed persons within 104 weeks 23 Total disability for employed persons after 104 weeks 24 Total disability for homemaker within 104 weeks 24.1 Partial disability for homemaker within 104 weeks 25 Confinement benefit

26 Limited liability where total benefits exceed money value of the income of an insured

DIVISION 3 Death and Funeral Benefits 27 Weekly death benefits

27.1 Weekly death benefits – dependant 27.2 Capitalization of weekly death benefits 27.3 Lump sum death benefit

27.4 Funeral benefit

DIVISION 4

Permanent Impairment Benefits 28 Permanent impairment benefits

28.1 Evaluation of permanent impairment 29 Calculation of lump sum benefit 29.1 Continuous idemnity

DIVISION 5 Indexation of Benefits 30 Interpretation of Division

30.1 Timing of required adjustments 30.2 Calculation of adjustment 30.3 Cap on adjustments

DIVISION 6

General Matters respecting Part II Benefits 30.4 Payment of benefits

31 Effect of judgment on benefits 32 No enforcement

33 No waiver

34 Exemptions – when insurer not to pay benefits pursuant to this Part

DIVISION 7 Statutory Conditions 35 Statutory conditions

PART III

Comprehensive Insurance and Insurance Money 36 Application of Part

37 Interpretation

38 Comprehensive insurance 39 Statutory conditions

PART IV

Bodily Injury and Property Damage Liability 40 Interpretation of Part

DIVISION 2

Limits on Actions and Tort Election 40.1 Actions for bodily injury prohibited

40.2 Tort election

40.3 Rules respecting tort election 40.4 Change in coverage

DIVISION 3

General Rules respecting Tort Actions 41 Tort actions against Part VIII beneficiaries limited 41.1 Rules respecting tort actions

DIVISION 4

General Matters re Bodily Damage and Property Damage Liability Insurance

42 Bodily injury liability and property damage liability insurance 43 Repealed

44 Additional expenditures 44.1 No set-off

45 Application of insurance money 46 Insured to give notice of action

47 Unnamed insured may recover indemnity STATUTORY CONDITIONS 48 Statutory conditions

49 Operator further insured

50 Insurance proof of financial responsibility 51 Remedy for injuries, etc., in hit-and-run accident 51.1 Remedy against insurer where action

against person prohibited 52 Uninsured motor vehicles

53 Insurer agent of owner of uninsured motor vehicle for service of process

54 Application for payment by insurer where person has cause of action

55 Application for payment of judgment 56 Non-application of section 55 57 Assignment of judgment

58 Restriction on payments under section 51, 54 or 55 59 Same 60 Payments to non-residents PART V Jurisdiction of Court 61 Interpretation 62 Actions in court 63 Repealed

64 Consolidation of actions for benefits or insurance money 65 Relief from forfeiture

66 Proof of intoxication 66.1 Proof of conviction

(3)

PART VI Miscellaneous 67 Change in capacity to operate vehicle 68 Reports of accidents

69 Duty of police officer 70 Additional reports

71 Limits on public inspection re reports and statements 72 Duty of physician

73 Duty of employer 74 Offence

75 Notices, how given

76 Effect of delivery of receipt for premium 77 Waiver to be in writing

77.1 Ex gratia payments 77.2 Use of annuities

78 Misrepresentation, fraud, violation of Act, etc., renders claim invalid

79 Repealed

80 Subrogation – payments pursuant to Parts II, III and IV 80.1 Insurer subrogated

80.2 Suspension pending recovery of payments 81 Regulations

81.1 Exemption

82 Right of access to records, etc. 83 Powers additional to existing powers 84 Saskatchewan Insurance Act does not apply 85 Act to prevail

86 No action, etc., against persons administering Act 86.1 Immunity

86.2 Offence – general

PART VII

The Saskatchewan Auto Fund 87 Fund established

88 Board of directors 89 Property to belong to Crown 90 Accounting

91 Revenues and expenditures 92 Investments

93 Powers of insurer 94 Annual report 95 Audit 96 Acts of insurer

97 Allocation of certain costs and expenses 98 Manner of holding property

99 Transitional

PART VIII

Bodily Injury Benefits (No Fault) DIVISION 1

Interpretation of Part 100 Interpretation of Part

DIVISION 2

Application of Part VIII and Bodily Injury Benefits 101 Application of Part

102 Repealed

103 Tort action for economic loss 104 Tort action for non-economic loss 105 Subrogation for non-economic loss 106 Bodily injury benefits

107 No benefits for suicide

107.1 No Part VIII benefits to occupants of stolen motor vehicles 108 Benefits for Saskatchewan residents and, if in a

reciprocity agreement, for non-Saskatchewan residents 109 Benefits for non-residents

109.1 Right to carry on action outside Saskatchewan continued in certain circumstances

110 Accidents outside Saskatchewan 111 Subrogation re accidents in Saskatchewan

DIVISION 3 Rehabilitation 112 Rehabilitation

DIVISION 4 Income Replacement Benefit 113 Income replacement benefit

114 When more remunerative employment to be used 115 Income replacement benefit for catastrophic impairment 115.1 Income replacement benefit for catastrophic injuries

before August 1, 2002

SUBSTITUTE WORkER ELECTION 116 Substitute worker election

117 Substitute worker benefit

FAMILY ENTERPRISE BENEFITS 118 Family enterprise benefit

CAREgIVER BENEFITS 119 Caregiver benefits

120 Other weekly benefits STUDENTS 121 Loss of studies benefit

122 Income replacement benefit – during studies 123 Income replacement benefit – after studies 124 Student entitled to one benefit only 125 Loss of scholarship, tuition, text books

REDUCTION OF INCOME REPLACEMENT BENEFITS 126 Reduction if insured earns reduced income

127 Insureds near 65 years or older 128 Lump sum benefit

129 Reduction of benefit if partially capable 130 When benefit not payable

TERMINATION OF DIVISION 4 BENEFITS 131 Termination of benefits

RESIDUAL EMPLOYMENT DETERMINATION 132 Determined employment after second anniversary 133 Determination of employment for students 134 Factors in determining employment 135 Reduction for determined employment

CALCULATION OF DIVISION 4 BENEFITS 136 Maximum yearly insurable earnings

137 Industrial average wage

138 Limit on income replacement benefits 139 Calculation of net income

RELAPSE 140 Relapse within two years 141 Relapse after two years or later 142 Limits on benefits MEDICAL APPOINTMENTS 143 Medical appointments DIVISION 5 Death Benefits 144 Death benefits

145 Death benefit – dependant 146 Capitalization of death benefits 147 Lump sum death benefit 148 Funeral benefit

149 Education benefit for surviving spouse 150 Vocational counselling

151 grief counselling

DIVISION 6

Permanent Impairment Benefit 152 Permanent impairment benefit

153 When beneficiary dies

154 Evaluation of permanent impairment 155 Calculation of lump sum benefit

(4)

DIVISION 7 Benefits for Expenses 156 Benefits for living assistance expenses 157 Benefits – other expenses

158 Examination by practitioner 159 Transportation and lodging expenses 160 Benefits for accompanying insured 161 Additional expenses

162 Financial counselling

DIVISION 8 Claims 163 Application for benefits 164 Time limits for applying 165 Release of information 166 Proof of salary 167 Report of examination 168 Report of accident

169 Reimbursement for costs of report 170 Claimant to advise of changes 171 Insurer to advise and assist claimants

DIVISION 9 Payment of Benefits 172 Payment of benefits

173 When payment for castrophic injury may be made 174 When Division 4 benefits not payable

175 When permanent impairment benefits not payable 176 Proof of conviction

177 Beneficiary may appeal decision of insurer 178 Payment of loss of studies benefit

179 To whom benefits to reimburse expenses may be paid 180 Payment to estate

181 Payment to guardians

182 Benefits, other than income replacement benefits, not subject to seizure or assignment

183 When insurer may refuse to pay or may reduce, suspend or terminate benefits

DIVISION 10 Indexation of Benefits 184 Interpretation of division

185 Timing of required adjustments 186 Calculation of adjustment 187 Cap on adjustments

DIVISION 11 Insurer’s Decision and Appeals 188 Insurer’s decisions final

189 Insurer to give written reasons 190 Mediation

191 Right to appeal

192 Court rules apply to proceeding before the court 193 Conduct of appeal before appeal commission 194 Appeal to the Court of Appeal

195 Variation of compensation

195.1 Dismissal of appeal for want of prosecution of appeal 196 Appeal does not stay decision

DIVISION 11.1 Appeal Commission 196.1 Appeal commission established 196.2 Panels of appeal commission 196.3 Evidence

196.4 Rules respecting hearings 196.5 Remuneration and employees

DIVISION 12 Recovery of Benefits 197 Overpayment

198 Time limits for recovery 199 Cancellation of overpayment 200 Certain amounts not overpayments

DIVISION 13

Compensation pursuant to other Acts and Plans 201 Private insurance claims not affected

202 Compensation pursuant to The Workers’ Compensation

Act, 2013 or other legislation

203 Disability payments to reduce income replacement benefit 204 Subrogation for compensation pursuant to other Acts

DIVISION 14 General

205 Substantial compliance with forms and notices 206 Ex gratia payments

207 Immunity 208 Non-compellability 209 Agreements

210 Calculation of interest rates 211 Service

212 Rights on subrogation 213 Inspection of vehicle 214 Use of collected information 215 Part to prevail

216 Regulations

217 Transitional – rehabilitation benefits 218 Transitional – income replacement benefits 218.1 Transitional – appeals and commission 219 Repealed

(5)

CHAPTER A-35

An Act respecting Insurance against Certain Losses resulting

from Certain Motor Vehicle Accidents

SHORT TITLE

Short title

1 This Act may be cited as The Automobile Accident Insurance Act. INTERPRETATION

Interpretation of Act 2(1) In this Act:

(a) “accident” means any event in which property damage or bodily injury is caused by a motor vehicle;

(b) “administrator” means the person designated as the administrator pursuant to The Traffic Safety Act;

(c) “basic premium” means the appropriate basic premium established pursuant to subsection 5(2);

(d) “beneficiary” means a person who applies for and is entitled to receive benefits;

(e) “benefits” means, except when used in reference to benefits payable pursuant to another Act or any legislation of another jurisdiction, any benefits payable pursuant to Part II or VIII;

(f) “board” means:

(i) the Rates Appeal Board continued pursuant to section 10; or

(ii) if the Lieutenant governor in Council issues an order pursuant to subsection (2), the Highway Traffic Board continued pursuant to The

Traffic Safety Act;

(g) “bodily injury” means any physical or mental injury, including any acquired brain injury, permanent physical or mental impairment or death; (h) “bodily injury caused by a motor vehicle” means bodily injury caused by a motor vehicle, by the use of a motor vehicle or by a load, including bodily injury caused by a trailer used with a motor vehicle, but does not include bodily injury mentioned in subsections 20(3) and 101(2);

(6)

(i) “bodily injury liability insurance” means the obligation of the insurer pursuant to this Act to pay insurance money in the event of bodily injury to any person as a result of one of the perils mentioned in section 42;

(j) “catastrophic injury” means a catastrophic injury as defined in the regulations made pursuant to section 81 or 216;

(k) “certificate” means a certificate of insurance issued in accordance with this Act;

(l) “child”, with respect to an insured, includes:

(i) a person to whom the insured stands in the place of a parent; and (ii) a person for whose support an insured was, at the date of the accident, liable pursuant to any Act or Act of the Parliament of Canada;

(m) “claimant” means a person who applies for a benefit;

(n) “comprehensive insurance” means the obligation of the insurer to pay insurance money pursuant to Part III to an insured in the event of loss or damage to a motor vehicle;

(o) “dealer” means a person who is the holder of a valid licence issued pursuant to The Motor Dealers Act;

(p) “employment” means the state of being employed for remuneration; (q) “fund” means the Saskatchewan Auto Fund established pursuant to section 87;

(r) “garage” means a building or part of a building within or in connection with which service is rendered on a motor vehicle in the ordinary course of business;

(s) “homemaker” means a person who:

(i) manages, maintains and controls an independent domestic establishment without remuneration; and

(ii) is not employed;

(s.1) “industrial average wage” means the industrial average wage as calculated in the manner set out in section 137;

(t) “insurance” means insurance provided pursuant to this Act;

(u) “insurance money” means any payment that the insurer is authorized or required to make pursuant to Part III or IV;

(v) “insured” means:

(i) a person to whom or with respect to whom benefits are payable pursuant to Part II or VIII, as the case may be;

(ii) a person to whom insurance money is payable pursuant to Part III; or

(iii) a person to whom or on whose behalf insurance money is payable for bodily injury or loss or damage to property as a result of one of the perils mentioned in section 42;

(7)

(w) “insurer” means Saskatchewan government Insurance; (x) “licence period” means:

(i) in the case of an owner’s certificate, any period for which a certificate of registration for a motor vehicle, trailer or semi-trailer is issued pursuant to The Traffic Safety Act:

(A) commencing on the time and day the certificate of registration is issued; and

(B) ending on the day on which the certificate of registration expires; and

(ii) in the case of an operator’s certificate, the period:

(A) commencing on the first day of the month next following the anniversary of the birth of the applicant; and

(B) ending 12 months from the day mentioned in paragraph (A); (y) “load” means any property carried in or on a motor vehicle;

(z) “minister” means the member of the Executive Council to whom for the time being the administration of this Act is assigned;

(aa) “motor vehicle” means any motor vehicle propelled by any power other than muscular force and adapted for transportation on highways, but not on rails;

(bb) “necessities of life” means food, clothing, lodging and other reasonable necessaries for the maintenance of life and continuation of a person’s health; (cc) “nuclear energy hazard” means the radioactive, toxic, explosive or other hazardous properties of a nuclear substance within the meaning of the

Nuclear Energy Act (Canada);

(cc.1) “occupant of a stolen motor vehicle” means an insured who is the occupant of a motor vehicle involved in an accident and who, in connection with that motor vehicle, is convicted of an offence pursuant to:

(i) section 322, 333.1, 334 or 354 of the Criminal Code; or

(ii) a law of a state of the United States of America that is substantially similar to an offence mentioned in subclause (i);

(dd) “operator’s certificate” means a certificate of insurance issued to a person holding a licence or other permit to drive a motor vehicle pursuant to

The Traffic Safety Act;

(ee) “owner’s certificate” means a certificate of insurance issued to a person with respect to the ownership of a motor vehicle for which a certificate of registration, a dealer’s certificate or a trailer certificate of registration has been issued pursuant to The Traffic Safety Act;

(8)

(ff) “parent” means:

(i) the mother or the father of a child;

(ii) a person to whom custody of a child has been granted by a court of competent jurisdiction or by a custody agreement; or

(iii) a person with whom a child resides and who stands in the place of a parent to the child;

(ff.1) “Part VIII beneficiary” means any person who, if he or she were to sustain a bodily injury caused by a motor vehicle arising out of an accident, would be entitled to benefits pursuant to Part VIII and includes any Saskatchewan resident with respect to whom the insurer has not received a tort election, but does not include a person receiving a benefit pursuant to Part II in relation to the death of an insured;

(gg) “permanent impairment” includes a permanent anatomical or physiological deficit, a permanent disfigurement, a permanent acquired brain injury or any other prescribed permanent impairment;

(hh) “power unit” means a motor vehicle used solely for the purpose of drawing a semi-trailer;

(ii) “practitioner” means: (i) a physician or surgeon; (ii) a dentist;

(iii) a physical therapist; (iv) an optometrist; (v) a psychologist; (vi) a psychiatrist; (vii) a chiropractor;

(viii) an occupational therapist; (ix) a massage therapist; or

(x) any other prescribed practitioner;

(jj) “prescribed” means prescribed in the regulations;

(kk) “property damage caused by a motor vehicle” means the loss or damage to property for which property damage liability insurance is provided pursuant to this Act;

(ll) “property damage liability insurance” means the obligation of the insurer to pay insurance money pursuant to this Act in the event of loss or damage to property as the result of one of the perils mentioned in section 42; (mm) “province” means a province or territory of Canada;

(9)

(nn) “public highway” means a road allowance or a road, street or lane that is designed and intended for or used by the general public for the passage of motor vehicles and includes:

(i) any bridge, culvert, drain or other public improvement erected on or in connection with a public highway; and

(ii) any parkway, driveway, square or place that is designed and intended for or used by the general public for the passage of motor vehicles; (oo) “public service motor vehicle” means a motor vehicle, trailer or semi-trailer registered as a public service motor vehicle pursuant to The

Traffic Safety Act;

(pp) “semi-trailer” means a vehicle that:

(i) is at any time drawn on a public highway by a motor vehicle; (ii) is designed to convey goods or persons or to serve as living quarters for persons; and

(iii) is so designed that its weight and the weight of its load is carried partly on its own axle or axles and partly on another motor vehicle; (qq) “snowmobile” means a snowmobile as defined in The Snowmobile

Act;

(rr) “spouse” means:

(i) the spouse of the insured who is, at the date of the accident, residing with the insured; or

(ii) a person with whom, at the date of the accident, the insured is cohabiting and has cohabited as a spouse:

(A) continuously for a period of not less than two years; or

(B) continuously for a period of not less than one year, if they are parents of a child;

(ss) “surviving spouse” means a spouse of an insured and includes a former spouse of an insured who, at the date of the accident:

(i) had been living separate and apart from the insured for one year or less;

(ii) was receiving spousal support from the insured; or

(iii) had a court order or agreement with the insured entitling that person to spousal support from the insured;

(ss.1) “tort election” means a written election made by a Saskatchewan resident that complies with the requirements of Part IV;

(10)

(uu) “violation record” includes a report made by any authority acting in an official capacity stating that a person has:

(i) been found at fault with respect to a motor vehicle accident; or (ii) been convicted of an offence relating to the use or operation of a motor vehicle.

(2) The Lieutenant governor in Council may order that all appeals to the board pursuant to section 7.2 or 10.1 are to be heard by the Highway Traffic Board continued pursuant to The Traffic Safety Act.

(3) If the Lieutenant governor in Council issues an order pursuant to subsection (2):

(a) the order must state the date that it comes into force, which must be a date at least 30 days from the date that the order is published in the gazette; and

(b) the order must be published in the gazette as soon as possible after it is issued.

(4) On and after the date that an order made pursuant to subsection (2) comes into force:

(a) the Rates Appeal Board shall not hear any further appeals pursuant to this Act;

(b) if the Rates Appeal Board has heard an appeal pursuant to this Act but has not, at the date of the order, issued its decision, the Rates Appeal Board shall continue to consider the appeal and issue its decision and this Act continues to apply to the Rates Appeal Board and the appeal as if the order had not been made;

(c) notwithstanding any other provision of this Act or any other law, if an appeal has been made to the Rates Appeal Board but has not been heard by the Rates Appeal Board as at the date of the order:

(i) the Highway Traffic Board shall hear and determine the appeal in accordance with this Act; and

(ii) the appeal shall be continued before the Highway Traffic Board as if the appeal had been originally made to the Highway Traffic Board pursuant to this Act; and

(d) all orders made by the Rates Appeal Board become orders of the Highway Traffic Board and may be enforced and dealt with as if they were issued by the Highway Traffic Board.

(5) For the purposes of clause (1)(cc.1), a certificate purporting to be signed by a judge of the convicting court or other officer having custody of the records of the convicting court certifying that a person has been convicted of an offence mentioned in that clause is admissible in evidence as proof, in the absence of evidence to the contrary, of the conviction of the person without proof of the handwriting or position of the person purporting to have signed the certificate.

2002, c.44, s.3; 2004, c.T-18.1, s.297; 2005, c.5, s.3; 2011, c.3, s.3.

(11)

PART I

Application for Insurance and Certificates Issue of licences, certificates, etc., under The Traffic Safety Act conditional

3(1) Notwithstanding anything in The Traffic Safety Act, no certificate of registration, licence or permit for a vehicle and no licence or other driving permit required or authorized for the operation or use of a vehicle thereunder shall be issued or renewed unless the applicant therefor furnishes evidence that his application for a certificate of insurance under this Act has been approved in respect of the particular certificate, licence or permit sought to be issued.

(2) Subsection (1) applies to motor vehicles owned and operated by the government of Saskatchewan and to the drivers of those motor vehicles, but does not apply to:

(a) vehicles owned or operated by the government of Canada, the government of a province other than Saskatchewan or the government of a state; or (b) vehicles exempted by the regulations.

(3) Notwithstanding subsection (2), the insurer may negotiate and conclude an agreement with any government therein excluded to bring any and all motor vehicles belonging to or operated by such government on the public highways of Saskatchewan within the operation of this Act.

R.S.S. 1965, c.409, s.3; 1973, c.8, s.3; R.S.S. 1978, c.A-35, s.3; 1983, c.82, s.2; 1986, c.33, s.2; 2000, c.5, s.4; 2004, c.T-18.1, s.297.

Application for insurance

4(1) Every person who submits an application under The Traffic Safety Act for any of the following shall comply with subsection (1.1):

(a) a certificate of registration for a vehicle; (b) a registration permit;

(c) a driver’s licence; or

(d) a renewal of any certificate, permit or licence mentioned in clauses (a) to (c). (1.1) Every person mentioned in subsection (1) shall ensure that any application mentioned in subsection (1), when filed, is accompanied by:

(a) an application to the insurer for a certificate of insurance in accordance with this Act;

(b) the:

(i) basic premium; or

(ii) first instalment of the basic premium and any fees and charges related to the payment of the basic premium in instalments as calculated and payable in accordance with the regulations; and

(c) any additional premium that, having been assessed, is due and payable on the day on which the application mentioned in clause (a) is filed.

(12)

(2) The insurer may approve the application for a certificate of insurance immediately or, if the insurer decides that the premium should be varied in accordance with section 8, it may withhold approval until such time as the premium has been varied and has been paid by the applicant.

(3) The application for a certificate of insurance shall be in the form prescribed by the insurer and may be incorporated in the appropriate application form provided for use under The Traffic Safety Act.

R.S.S. 1965, c.409, s.4; 1973, c.8, s.4; R.S.S. 1978, c.A-35, s.4; 1983, c.82, s.2; 1983-84, c.16, s.2; 1986, c.33, s.2; 1992, c.20, s.4; 2004, c.T-18.1, s.297.

Basic rates

5(1) The Lieutenant governor in Council may, by regulation, classify motor vehicles, trailers and semi-trailers and the drivers of motor vehicles for the purposes of this Act and the classification may be according to the type, use and age of a motor vehicle, trailer or semi-trailer and according to the accident or violation record, or the absence thereof, of the driver of a motor vehicle, and in each case according to such other criteria as are or may be relevant to the maintenance of equitable standards in the differentiation of one class from another.

(1.1) Regulations made pursuant to subsection (1) may be made retroactive to a day not earlier than one year preceding the day the regulations are made.

(2) The insurer shall establish a basic premium for each class of motor vehicle, trailer and semi-trailer and each class of driver established pursuant to subsection (1). (3) The insurer shall make available to the public at its head office and at each of its branch offices during its normal business hours a complete and current schedule of the premiums established pursuant to subsection (2).

1976-77, c.7, s.3; R.S.S. 1978, c.A-35, s.5; 1982-83, c.22, s.2; 1986-87-88, c.29, s.2; 1988-89, c.37, s.4; 1989-90, c.15, s.3.

Safety rating assessment

6(1) In this section and in sections 7 to 7.5 and 81: (a) “chargeable incident” means:

(i) a motor vehicle accident:

(A) in which loss or damage arises on account of which the insurer makes a payment pursuant to this Act and the amount of the loss or damage is in excess of the prescribed amount; and

(B) with respect to which the driver of the motor vehicle is at least 50% at fault for the accident;

(13)

(ii) a conviction for contravening:

(A) a prescribed provision of The Traffic Safety Act;

(B) section 220, 221, 236, paragraph 249(1)(a), subsection 249(3) or (4), section 252, paragraph 253(a) or (b), subsection 255(2) or (3) or subsection 259(4) of the Criminal Code, where the contravention is committed by means of a motor vehicle;

(C) subsection 254(5) of the Criminal Code for failure or refusal to comply with a demand pursuant to section 254 of the Criminal

Code;

(D) section 130 of the National Defence Act (Canada) for having contravened paragraphs 253(a) and (b), subsection 254(5) or subsection 255(2) or (3) of the Criminal Code;

(E) any other prescribed offence; or

(F) any law of the United States of America that is substantially similar to any of the provisions mentioned in paragraphs (A) to (E);

(iii) a suspension pursuant to section 91 of The Highway Traffic Act; or

(iv) a suspension or disqualification pursuant to section 78.2 of The

Vehicle Administration Act that has not been cancelled after a review pursuant to section 78.3 of that Act;

(b) “discount” means the discount from the premium described in subclause (4)(b)(i);

(c) “driver” means the person who is the operator of a motor vehicle regardless of whether that person has a valid licence at the time of a chargeable incident;

(d) “premium” means the basic premium set pursuant to subsection 5(2); (e) “safety rating” means a driver’s safety rating as determined in the manner set out in the regulations;

(f) “surcharge” means the surcharge described in subclause (4)(b)(ii). (2) The insurer shall keep a record of all chargeable incidents for every driver. (3) The insurer shall enter the number of chargeable incidents against a driver in the manner set out in the regulations.

(4) The insurer shall, in the manner set out in the regulations:

(a) determine a driver’s safety rating using the number of chargeable incidents entered against the driver; and

(b) based on the driver’s safety rating, determine for the driver:

(i) the amount of any discount from the premium that the driver is entitled to; or

(14)

(5) If the insurer has determined that a driver is entitled to a discount and the driver, as the owner of a motor vehicle, is purchasing or renewing an owner’s certificate for a prescribed motor vehicle or a motor vehicle that is a member of a prescribed class of motor vehicles, the insurer shall deduct the amount of the discount from the premium for that motor vehicle.

(6) If the insurer has determined that a driver must pay a surcharge, the insurer shall send a written notice to the driver that indicates:

(a) the amount of the surcharge that must be paid;

(b) the time within which the surcharge must be paid; and

(c) if the insurer considers it appropriate, the manner in which the surcharge must be paid.

(7) On receipt of a written notice sent pursuant to subsection (6), the driver shall pay the surcharge in the amount, within the time and in the manner set out in the written notice.

(8) If liability of the driver of a motor vehicle for loss or damage has been in issue before a court of competent jurisdiction, the order, decision or judgment of the court that finally concludes and determines the issue shall, for the purposes of this section, be conclusive:

(a) of the amount of loss or damage;

(b) as to whether the loss or damage was caused by fault on the part of the driver of the motor vehicle;

(c) of the degree to which the driver of the motor vehicle was at fault; and (d) of the extent of the liability for the loss or damage of the driver of the motor vehicle.

2002, c.44, s.4; 2004, c.35, s.3; 2004, c.T-18.1, s.297.

Notice of changes to safety ratings

7 The insurer shall promptly send a written notice to a driver when the driver’s safety rating is changed as a result of a chargeable incident.

2002, c.44, s.4. Sending of written notices

7.1(1) The insurer shall send a written notice pursuant to section 6 or 7 by ordinary mail.

(2) A written notice that is sent pursuant to subsection (1) is deemed to have been received on the tenth day following the day of mailing, unless the person to whom it was mailed establishes that, through no fault of the person, he or she did not receive the written notice or that he or she received it at a later date.

(15)

Appeals of safety rating to board

7.2(1) In this section and sections 7.3 and 7.4:

(a) “business day” means a day on which the insurer is normally open for business, but does not include:

(i) a Saturday; or (ii) a holiday;

(b) “notice of dispute” means a notice filed by a driver pursuant to this section contesting the driver’s safety rating.

(2) A driver may appeal to the board only when the insurer’s decision to change the driver’s safety rating results from a chargeable incident described in subclause 6(1)(a)(i).

(3) No appeal may be made to the board with respect to the insurer’s decision to change a driver’s safety rating as a result of a chargeable incident described in subclause 6(1)(a)(ii).

(4) A driver who wishes to appeal shall:

(a) file a notice of dispute at the office of the insurer within 30 days after receiving written notice of the change in the driver’s safety rating; and (b) pay the prescribed fee.

(5) On the application of a driver making an appeal pursuant to this section, the board may grant leave to file a notice of dispute after the expiration of the 30-day period mentioned in clause (4)(a) where the board considers it appropriate to do so.

(6) On receipt of a notice of dispute pursuant to this section, the insurer shall deliver to the board:

(a) the notice of dispute; and

(b) copies of all documents in the insurer’s possession or control that, in the opinion of the insurer, are relevant to the appeal, other than any report furnished pursuant to section 68, 69 or 70.

(7) On receipt of the notice of dispute pursuant to subsection (6), the board shall cause written notice to be sent to the driver of the time and place of the hearing. (8) The board shall set the time for the hearing not later than 45 business days after the date on which the written notice mentioned in subsection (7) is sent to the driver.

(9) A written notice of the time and place set for the hearing may be sent by ordinary mail to the last known address of the driver.

(16)

(10) A written notice that is sent pursuant to subsection (9) is deemed to have been received on the tenth day following the day of mailing, unless the person to whom it was mailed establishes that, through no fault of the person, he or she did not receive the written notice or that he or she received it at a later date.

(11) Where the driver who made the appeal fails to attend the hearing, the board may, on the proof of sending of the notice of hearing, proceed with the hearing in the absence of the driver.

2002, c.44, s.4. Hearing of appeal by board

7.3(1) At the hearing of an appeal pursuant to section 7.2, the board shall consider:

(a) the documents delivered pursuant to clause 7.2(6)(b); (b) any evidence put forward by the insurer; and

(c) any evidence put forward by the driver.

(2) Subject to subsection (3), on appeal the board shall either:

(a) confirm the insurer’s decision regarding the driver’s safety rating; or (b) vary the driver’s safety rating by reducing the number of points assigned by the insurer to the driver for the driver’s chargeable incident.

(3) The board shall not reduce the points assigned to a driver for a chargeable incident below zero.

(4) A decision of the board pursuant to this section is final and is not subject to appeal.

2002, c.44, s.4. Appeal not to stay decision

7.4(1) An appeal to the board pursuant to section 7.2 does not stay the insurer’s decision or affect the validity of the insurer’s decision respecting a driver’s safety rating.

(2) If the board varies a driver’s safety rating on appeal, the insurer shall refund to the driver any premium or surcharge that the driver paid and that the board determines the driver was not liable to pay.

2002, c.44, s.4. Proof

7.5 On an appeal pursuant to section 7.2, any document delivered by the insurer pursuant to clause 7.2(6)(b) is admissible as proof, in the absence of evidence to the contrary, of the facts contained in the document.

(17)

Power to vary rates

8(1) The insurer may consider the potential hazard or risk associated with providing a certificate of insurance to an applicant for or holder of a certificate of insurance:

(a) at the time an applicant or holder applies to obtain or renew a certificate of insurance; or

(b) at any time after a certificate of insurance is issued.

(2) If the insurer considers it necessary after considering the associated potential hazard or risk, the insurer may:

(a) declare that the applicant or holder is entitled to a refund of or discount from the basic premium that the applicant or holder is required to pay pursuant to subsection 5(2); or

(b) declare that the applicant or holder must pay an amount assessed by the insurer in addition to the basic premium that the applicant or holder is required to pay pursuant to subsection 5(2).

(3) If the insurer declares pursuant to clause (2)(b) that the applicant or holder must pay an amount in addition to the basic premium that the applicant or holder is required to pay pursuant to subsection 5(2), the applicant or holder must pay that additional amount assessed by the insurer within the time and in the manner that the insurer may direct in writing.

2002, c.44, s.5.

9 Repealed. 2002, c.44, s.5. Rates Appeal Board

10(1) The Rates Appeal Board is continued, consisting of one or more members to be appointed by the Lieutenant governor in Council.

(2) The Lieutenant governor in Council may appoint one member of the Rates Appeal Board to be the chairperson of the board.

(3) The members of the Rates Appeal Board are entitled to any remuneration and reimbursement for expenses that the Lieutenant governor in Council may determine.

(4) The jurisdiction of the Rates Appeal Board may be exercised by one member sitting in the region assigned to him by the chairperson, and the decision of that member is deemed to be the decision of the Rates Appeal Board.

(5) In the event of the absence or inability to act of any member or in the case of a vacancy in the Rates Appeal Board, the remaining member or members may exercise the powers of the board.

(18)

Appeal of additional premium to board

10.1(1) A person who has been assessed an amount in addition to the basic premium pursuant to section 8 may appeal the assessment to the board.

(2) An appeal to the board must be made in the manner and within the period set out in the regulations.

(3) Subject to the regulations, if an appeal is made to the board pursuant to this section, the board may confirm, reduce, increase or vary the additional premium assessed.

(4) A review pursuant to this section must be conducted in the manner prescribed in the regulations and in accordance with the terms and conditions prescribed in the regulations.

(5) A decision of the board pursuant to this section is final and is not subject to appeal.

2004, c.35, s.4. Appeal pursuant to section 10.1 not to stay decision

11(1) An appeal to the board pursuant to section 10.1 does not stay the insurer’s decision or affect the validity of the insurer’s declaration respecting an additional premium to be paid by the person who is the subject of the declaration.

(2) If the board reduces an assessment on appeal, the insurer shall refund to the person who launched the appeal any additional premium that the person paid and that the board determines the person was not liable to pay.

(3) Notwithstanding the fact that an appeal has been made to the board pursuant to section 10.1, unless the person who launched the appeal has paid the amount of the additional premium:

(a) the administrator pursuant to The Traffic Safety Act shall not issue or renew a certificate of registration, licence or permit for a vehicle or licence or other permit to drive pursuant to the authority of The Traffic Safety Act respecting the person who launched the appeal while an appeal pursuant to this section is pending before the board; and

(b) the administrator pursuant to The Traffic Safety Act may cancel a certificate of registration, licence or permit for a vehicle or licence or other permit to drive pursuant to the authority of The Traffic Safety Act respecting the person who launched the appeal while an appeal pursuant to this section is pending before the board.

(4) If a person who launched an appeal to the board pursuant to section 10.1 pays the amount of the additional premium as required pursuant to subsection (3) and the board grants that person’s appeal, the insurer shall immediately refund to that person the amount of the additional premium that was paid.

(19)

Deduction of moneys owing

11.1 The insurer may deduct from any benefit, indemnity or insurance moneys payable to a person any of the following amounts that the person owes to the insurer:

(a) the amount of any unpaid premium; (b) the amount of any surcharge;

(c) any other amount arising out of the administration of this Act.

1994, c.34, s.4. Issue of certificate, motor vehicle liability insurance cards

12(1) Upon payment of the required premium by an applicant for a certificate under this Act, the insurer shall, upon approval of the application, issue a certificate of insurance to the applicant.

(1.1) Subject to subsection (1.2), a certificate of insurance issued pursuant to this Act gives coverage under:

(a) Part III to the extent prescribed in the regulations and subject to the terms and conditions prescribed in the regulations; and

(b) Part IV.

(1.2) Notwithstanding any other Part, or any other Act, a certificate of insurance issued pursuant to this Act for a snowmobile does not provide coverage under Part II or Part III.

Form of certificate

(2) The certificate shall be in the form prescribed by the insurer and may be incorporated in the certificate of registration, licence or permit for a motor vehicle, trailer or semi-trailer, or in the licence or other permit to drive issued under authority of The Traffic Safety Act.

Issue of motor vehicle liability insurance cards

(3) The insurer shall make provision for the issue and delivery of such motor vehicle liability insurance cards as may be required for the purpose of The Traffic

Safety Act by persons insured by owners’ certificates, but there may be printed on an owner’s certificate under the heading “Motor Vehicle Liability Insurance Card” such particulars in such form as may be satisfactory to the administrator and the particulars so printed shall constitute a motor vehicle liability insurance card within the meaning and for the purpose of The Traffic Safety Act.

Proof of certificate

(4) A document purporting to be:

(a) a certificate of registration, licence or permit issued to any person by the administrator in accordance with The Traffic Safety Act; and

(b) an automobile accident insurance certificate issued by the insurer; is deemed to be a certificate duly issued pursuant to this Act to the person named in the document.

R.S.S. 1965, c.409, s.10; 1973, c.8, s.7; R.S.S. 1978, c.A-35, s.12; 1980-81, c.83, s.3; 1983, c.82, s.2; 1983-84, c.1, s.4; 1986, c.33, s.2; 1998, c.18, s.4; 2004, c.T-18.1, s.297.

(20)

Non-issue of certificate in certain case

13(1) No owner’s certificate is to be issued or renewed with respect to a vehicle that is not required by The Traffic Safety Act or The Snowmobile Act to be registered pursuant to The Traffic Safety Act.

(2) A certificate that is issued contrary to this section is void.

2004, c.T-18.1, s.299.

14 Repealed. 2002, c.44, s.7. Effect of cancellation of registration, etc.

15(1) The suspension, revocation or cancellation under any law of a certificate of registration, licence or permit for a vehicle shall automatically suspend, revoke or cancel the owner’s certificate in which the vehicle is designated.

(2) The suspension, revocation or cancellation under any law of a licence or other permit to drive of any person shall automatically suspend, revoke or cancel the operator’s certificate in which the person is named.

(3) The surrender of a licence or other permit to drive of any person to a judge, provincial magistrate or justice of the peace under any law shall automatically cancel the operator’s certificate in which the person is named, provided that if the judge, provincial magistrate or justice of the peace, pursuant to the provisions of

The Traffic Safety Act in that behalf, furnishes that person with a letter authorizing him to drive a motor vehicle, the cancellation shall not take effect until midnight on the last day of the period specified in the letter of authority.

R.S.S. 1965, c.409, s.13; 1973, c.8, s.9; R.S.S. 1978, c.A-35, s.15; 1983, c.82, s.2; 1986, c.33, s.2; 2004, c.T-18.1, s.297.

Expiration of certificate

16 Unless it is earlier suspended, revoked or cancelled, a certificate expires: (a) in the case of a certificate incorporated in a certificate of registration or licence issued pursuant to The Traffic Safety Act, when the certificate of registration or licence expires;

(b) in the case of a certificate incorporated in a permit issued pursuant to

The Traffic Safety Act, when the permit expires; or

(c) in a case other than one described in clauses (a) and (b), at the time of expiry stated in the certificate.

1984-85-86, c.1, s.10; 1986, c.33, s.2; 2004, c.T-18.1, s.297.

(21)

Conditions of certificate issued with permit

17(1) Subject to subsection (2), a certificate issued in conjunction with a permit issued pursuant to The Traffic Safety Act, or any other authority to drive, gives coverage under:

(a) Part III to the extent prescribed in the regulations and subject to the terms and conditions prescribed in the regulations; and

(b) Part IV.

(2) Notwithstanding any other Part, or any other Act, a certificate issued in conjunction with a permit issued pursuant to The Traffic Safety Act, or any other authority, for a snowmobile does not provide coverage under Part II or Part III.

1998, c.18, s.5; 2004, c.T-18.1, s.297. Certain certificates not valid after July 31, 1999

17.1 Every certificate of registration or registration permit respecting a snowmobile issued pursuant to The Traffic Safety Act and every certificate of insurance issued pursuant to The Automobile Accident Insurance Act respecting a snowmobile that is in force on July 31, 1999 is deemed to be cancelled.

1998, c.18, s.5; 2004, c.T-18.1, s.297. Owner insured in another jurisdiction

18(1) In this section:

(a) “non-resident owner” means an owner of a vehicle who is a resident of another province, state or country;

(b) “vehicle” means a vehicle that: (i) is operated in Saskatchewan; and

(ii) is registered in Class A, C, D, F or LV pursuant to The Vehicle

Classification and Registration Regulations.

(2) Parts III and IV do not apply to a non-resident owner of a vehicle, if the administrator is satisfied that the resident owner is insured against the non-resident owner’s liability for loss or damage to the person or property of others arising out of the use, operation or ownership of the vehicle.

(3) The Lieutenant governor in Council may order that the provisions of subsection (2) are not to operate with respect to any vehicle or class of vehicles owned by a resident of any province, state or country specified in the order.

2002, c.44, s.8; 2004, c.35, s.5. Power to except certain non-residents from application of Act

19 The Lieutenant governor in Council may by regulation except, subject to the conditions if any set out in the regulation, from the application, wholly or partly, of the provisions of this Act or any Part or section thereof, the owners of any class or classes of motor vehicles who are ordinarily resident in any province, state or country, other than Saskatchewan, specified in the regulation.

R.S.S. 1965, c.409, s.17; R.S.S. 1978, c.A-35, s.19.

(22)

PART II

Bodily Injury Benefits

DIVISION 1

Application of Part and General Benefits Application of Part

20(1) This Part applies to any person who has:

(a) sustained bodily injury caused by a motor vehicle arising out of an accident occurring in Canada or the United States of America or on a vessel travelling between ports of those countries; and

(b) filed with the insurer a tort election pursuant to subsection 40.2(1). (2) A person who is entitled to benefits pursuant to this Part is not entitled to benefits pursuant to Part VIII other than a death benefit pursuant to Part VIII relating to the death of a Part VIII beneficiary.

(3) Notwithstanding subsection (1), this Part does not apply to bodily injury caused by a motor vehicle, if the bodily injury:

(a) is caused while the motor vehicle is not in motion; (b) subject to subsection (4), is caused:

(i) by, or by the use of, a device that can be operated independently and that is mounted on or attached to the motor vehicle;

(ii) by a self-propelled agricultural implement within the meaning of

The Traffic Safety Act;

(iii) by a wheelchair as defined in The Traffic Safety Act;

(iv) by a special mobile machine as defined in The Traffic Safety Act; (v) by a snowmobile as defined in The Snowmobile Act;

(vi) by an all terrain vehicle as defined in The All Terrain Vehicles Act; or

(vii) by any other prescribed motor vehicle or prescribed class of motor vehicles;

(c) is caused by the autonomous act of an animal that is part of the motor vehicle’s load;

(d) is caused by an action performed by the insured in connection with the maintenance, repair, alteration or improvement of the motor vehicle;

(e) is caused while putting a load on or taking a load off the motor vehicle; or

(23)

(f) is caused as the result of a motor vehicle contest, show or race on a track or other location temporarily or permanently closed to all other motor vehicle traffic, whether or not the motor vehicle that caused the bodily injury is participating in the race, contest or show.

(4) Clause (3)(b) does not apply if a motor vehicle in motion is involved in the accident.

2002, c.44, s.9; 2004, c.T-18.1, s.297. Bodily injury benefits

20.1 Subject to the other provisions of this Part, the insurer shall pay benefits to a beneficiary regardless of who is responsible for the accident.

2002, c.44, s.9. Medical or rehabilitation benefits

21(1) Subject to the maximum benefit amounts mentioned in subsections (3) and (4), an insured is entitled to reimbursement for all medical services authorized by the insurer, including:

(a) surgical, dental, hospital, ambulance or professional nursing services; and

(b) any necessary physical therapy, chiropractic treatments, occupational therapy, speech therapy, prosthesis or orthosis.

(2) The amount of a benefit pursuant to subsection (1) is the amount of the expense that the insured is not entitled to be reimbursed for pursuant to any other Act. (3) The maximum benefit amount payable pursuant to this section is $20,000 unless the insured sustains a catastrophic injury.

(4) If an insured sustains a catastrophic injury, the maximum benefit amount payable pursuant to this section is $150,000.

2002, c.44, s.9.

DIVISION 2

Weekly Benefits Total disability for employed persons within 104 weeks

22(1) Subject to section 26, an insured is entitled to a weekly benefit if: (a) either:

(i) the insured is employed; or

(ii) the insured was actively engaged in an employment for wages or profit in the 12 months preceding the accident; and

(24)

(b) within 20 days after the accident, the bodily injury sustained in the accident totally and continuously disables the insured from engaging in an employment for which the insured is reasonably suited by education, training or experience.

(2) The insurer shall pay a weekly benefit pursuant to this section for the lesser of:

(a) the duration of the insured’s total and continuous disability; and (b) 104 weeks following the accident.

(3) Subject to subsection (4), the amount of a weekly benefit payable pursuant to this section is $300.

(4) If an insured has been employed for less than six months in the 12 months preceding the accident, the amount of the weekly benefit payable by the insurer is the lesser of:

(a) one half of the amount mentioned in subsection (3); and

(b) the amount obtained when the total earnings of the insured in the 12 months preceding the accident are divided by the number of weeks the insured worked.

2002, c.44, s.9. Partial disability for employed persons within 104 weeks

22.1(1) Subject to section 26, an insured is entitled to a weekly benefit pursuant to this section if:

(a) either:

(i) the insured is employed; or

(ii) the insured was actively engaged in an employment for wages or profit in the 12 months preceding the accident; and

(b) within 20 days after the accident, the bodily injury sustained in the accident partially and continuously disables the insured from engaging in one or more of the essential daily duties of:

(i) his or her employment; or

(ii) an employment for which the insured is reasonably suited by education, training or experience.

(2) The insurer shall pay a weekly benefit pursuant to this section for the lesser of:

(a) the duration of the insured’s partial and continuous disability; and (b) 104 weeks following the accident.

(25)

(3) Subject to subsection (4), the amount of a weekly benefit payable pursuant to this section is $150.

(4) If an insured has been employed for less than six months in the 12 months preceding the accident, the amount of a weekly benefit payable by the insurer is the lesser of:

(a) one half of the amount mentioned in subsection (3); and

(b) the amount obtained when the total earnings of the insured in the 12 months preceding the accident are divided by the number of weeks the insured worked.

2002, c.44, s.9. Total disability for employed persons after 104 weeks

23(1) Subject to section 26, an insured is entitled to a weekly benefit pursuant to this section if:

(a) either:

(i) the insured was employed at the date of the accident; or

(ii) the insured was actively engaged in an employment for wages or profit for any six months or more during the 12 months preceding the date of the accident;

(b) the insured received a weekly benefit pursuant to section 22 for the first 104 weeks following the accident; and

(c) the bodily injuries sustained in the accident have permanently and continuously disabled the insured from engaging in any employment for which the insured is reasonably suited by education, training or experience.

(2) The insurer shall pay a weekly benefit pursuant to this section for the duration of the insured’s permanent and continuous disability.

(3) The amount of a weekly benefit payable pursuant to this section is $300.

2002, c.44, s.9. Total disability for homemaker within 104 weeks

24(1) An insured is entitled to a weekly benefit pursuant to this section if: (a) the insured is a homemaker; and

(b) within 20 days after the accident, the bodily injury sustained in the accident totally and continuously disables the insured from performing every household duty.

(2) The insurer shall pay a weekly benefit pursuant to this section for the lesser of: (a) the duration of the insured’s total and continuous disability; and

(b) 104 weeks following the accident.

(3) The amount of a weekly benefit payable pursuant to this section is $300.

(26)

Partial disability for homemaker within 104 weeks

24.1(1) An insured is entitled to a weekly benefit pursuant to this section if: (a) the insured is a homemaker; and

(b) within 20 days after the accident, the bodily injury sustained in the accident partially and continuously disables the insured from performing one or more important daily household duties.

(2) The insurer shall pay a weekly benefit pursuant to this section for the lesser of:

(a) the duration of the insured’s partial and continuous disability; and (b) 104 weeks following the accident.

(3) The amount of a weekly benefit payable pursuant to this section is $150.

2002, c.44, s.9. Confinement benefit

25(1) An insured is entitled to a weekly benefit pursuant to this section if:

(a) the insured is not entitled to a weekly benefit pursuant to section 22 or 24; and

(b) within 20 days after the accident, the bodily injury sustained in the accident:

(i) totally and continuously disables the insured; and

(ii) pursuant to instructions from a prescribed practitioner, confines the insured to a hospital, bed or wheelchair.

(2) The insurer shall pay a weekly benefit pursuant to this section for the lesser of:

(a) the duration of the insured’s confinement; and (b) 52 weeks following the accident.

(3) The amount of a weekly benefit payable pursuant to this section is $150.

2002, c.44, s.9.

Limited liability where total benefits exceed money value of the income of an insured

26(1) This section applies if the sum of weekly benefits otherwise payable to an insured pursuant to section 22, 22.1 or 23 and any other accident or disability benefits payable to the insured under a contract of insurance with respect to an accident exceed the insured’s average yearly income in the 12 months preceding the accident.

(27)

(2) Notwithstanding sections 22, 22.1 and 23, in the circumstances mentioned in subsection (1), the insurer is only liable pursuant to section 22, 22.1 or 23 to pay a reduced weekly benefit to an insured in the amount RWB as calculated in accordance with the following formula:

where:

AVWE is the insured’s average aggregate weekly earnings in the 12 months preceding the accident;

PWB is the prescribed weekly benefit that would otherwise be payable to the insured pursuant to section 22, 22.1 or 23 but for this section; and

OB is the total benefits payable to the insured with respect to the accident. (3) If, as the result of applying subsection (2), the reduced weekly benefit received by the insured would be less than the weekly benefit otherwise payable, the insurer shall pay to the insured the positive difference between the weekly benefit and the reduced weekly benefit.

2002, c.44, s.9.

DIVISION 3

Death and Funeral Benefits Weekly death benefits

27(1) In this Division, “dependant”, with respect to an insured, means:

(a) a child of the insured who is under 21 years of age at the date of an accident and includes a child of the insured born after the accident or the death of the insured; or

(b) any person who would qualify for a tax credit pursuant to section 118.3 of the Income Tax Act (Canada) for a mental or physical impairment and who is dependent on the insured for the necessities of life at the date of the accident.

(2) If an insured dies as a result of an accident, a spouse is entitled to a weekly death benefit in an amount DB calculated in accordance with the following formula:

DB = (45% x NI)

where NI is equivalent to the insured’s weekly net income at the date of the accident, as calculated in the prescribed manner.

(3) The minimum death benefit a spouse is entitled to receive pursuant to this section is $45,000.

(4) The weekly death benefit payable pursuant to this section is payable until the spouse dies.

RWB = AVWE x PWB O B

(28)

(5) Subject to subsection (8), if at the date of the accident the insured had a dependant, the insurer shall pay a weekly death benefit for the care and maintenance of the insured’s dependant in the amount DB calculated in accordance with the following formula:

DB = (5% x NI) x DC where:

NI is equivalent to the insured’s weekly net income at the date of the accident, as calculated in the prescribed manner; and

DC is the number of the insured’s dependants.

(6) The insurer shall pay the weekly death benefit set out in subsection (5) to the spouse.

(7) Notwithstanding subsection (6), the insurer may pay the weekly death benefit for the dependant to the Public guardian and Trustee if:

(a) the dependant does not reside with the spouse; or

(b) in the insurer’s opinion, the spouse has neglected or abandoned the dependant.

(8) The weekly death benefits mentioned in subsection (5) are payable until whichever of the following occurs first:

(a) the dependant reaches 21 years of age; (b) the dependant dies.

2002, c.44, s.9; 2004, c.35, s.6. Weekly death benefits – dependant

27.1(1) If both of a dependant’s parents die in an accident, the dependant is entitled to the weekly death benefit mentioned in section 27 for each parent as if the dependant were the spouse of each parent.

(2) If the insured is the sole parent of a dependant, the dependant is entitled to the weekly death benefit mentioned in section 27 as if the dependant were the spouse of the insured.

(3) If, at the date of the accident, the surviving parent of the dependant is not entitled to the weekly death benefit set out in subsection 27(2), the dependant is entitled to the weekly death benefit mentioned in section 27 as if the dependant were the spouse of the insured.

(4) The weekly death benefit mentioned in subsection (1), (2) or (3) is payable only until whichever of the following occurs first:

(a) the dependant reaches 21 years of age; (b) the dependant dies.

(5) If there is more than one dependant, the weekly death benefits mentioned in this section are to be paid in the prescribed manner.

(29)

Capitalization of weekly death benefits

27.2(1) A spouse or a dependant who is entitled to a weekly death benefit pursuant to section 27 or 27.1 may elect to have the weekly death benefit capitalized and, subject to the regulations, paid out as a lump sum.

(2) Subject to the regulations, an election pursuant to subsection (1) must be made within two years after the date of the death of the insured and is not revocable. (3) The insurer shall undertake the capitalization in the prescribed manner.

2002, c.44, s.9. Lump sum death benefit

27.3(1) If an insured dies leaving no spouse or dependant, the insured’s estate is entitled to a lump sum death benefit of $10,000.

(2) Notwithstanding any other Act or law, if the insured, the insured’s spouse and the insured’s dependant die from injuries sustained in the same accident:

(a) they are all deemed to have died at the same time for the purposes of determining the availability of death benefits pursuant to this Part; and (b) for the purposes of sections 27 and 27.1, there is deemed to be no spouse or dependant.

2002, c.44, s.9. Funeral benefit

27.4 The insured’s estate is entitled to a lump sum benefit in the amount of $5,000 for the insured’s funeral.

2002, c.44, s.9.

DIVISION 4

Permanent Impairment Benefits Permanent impairment benefits

28(1) An insured who suffers a permanent impairment as a result of an accident is entitled to a lump sum benefit for the permanent impairment.

(2) Notwithstanding subsection (1), a lump sum benefit is not payable if the insured dies of a cause related to the accident.

(3) If the insured dies of a cause unrelated to an accident and, on the date of his or her death, the insured is suffering a permanent impairment as a result of the accident, the insurer shall:

(a) estimate the amount of the lump sum benefit that it would have awarded to the insured if the insured had not died; and

(b) pay the lump sum benefit to the insured’s estate.

(30)

Evaluation of permanent impairment

28.1(1) The insurer shall evaluate an insured’s permanent impairment as a percentage that is determined on the basis of the prescribed schedule of permanent impairments.

(2) If an insured’s permanent impairment is not listed on the prescribed schedule of permanent impairments, the insurer shall determine a percentage for the permanent impairment using the prescribed schedule as a guide.

2002, c.44, s.9. Calculation of lump sum benefit

29(1) If an insured suffers a permanent impairment, the insurer shall calculate the lump sum benefit in the manner set out in this section.

(2) For the purposes of subsection (1), the amount of a lump sum benefit is the amount PI calculated in accordance with the following formula:

PI = $10,000 x P

where P is the percentage determined pursuant to section 28.1.

(3) Notwithstanding subsection (2), if the insured is determined to have suffered a permanent impairment that includes a catastrophic injury, the amount of the lump sum benefit for a permanent impairment payable pursuant to this Division is the amount CPI calculated in accordance with the following formula:

CPI = $130,000 x P

where P is the percentage determined pursuant to section 28.1.

2002, c.44, s.9. Continuous indemnity

29.1(1) In this section, “former Act” means this Act as it existed on December 31, 2002.

(2) Notwithstanding any other provision of this Act or any other Act or law, if, on the date of the coming into force of this section, an individual is entitled to receive an indemnity benefit pursuant to section 25 of the former Act:

(a) the insurer, on the coming into force of this section, shall adjust the indemnity benefit to an amount equal to $430.56 per week; and

(b) the individual is entitled to receive only the indemnity benefit mentioned in clause (a).

(3) The insurer shall adjust the indemnity benefit mentioned in subsection (2): (a) on the anniversary date of the coming into force of this section; and (b) in accordance with sections 30.2 and 30.3.

(31)

DIVISION 5

Indexation of Benefits Interpretation of Division

30(1) In this Division, “consumer price index” means the consumer price index mentioned in subsections (2) to (4).

(2) Subject to subsections (3) and (4), in this Division, the consumer price index is the “all-items” Consumer Price Index for Saskatchewan as published monthly by Statistics Canada.

(3) If no figure for the “all-items” Consumer Price Index for Saskatchewan is published by Statistics Canada for a month, the insurer shall determine a figure for that month in accordance with the regulations.

(4) If, after the day this Part comes into force, Statistics Canada uses a new method to determine the “all-items” Consumer Price Index for Saskatchewan for a particular month and the new method results in a change of more than 1% when compared with the former method, the insurer shall determine a figure in accordance with the regulations.

2002, c.44, s.9. Timing of required adjustments

30.1(1) Subject to subsection (2), the insurer shall adjust the benefit amounts set out in this Part on January 1 of each year.

(2) The insurer shall adjust the benefits paid to an insured pursuant to sections 22, 22.1, 23, 24, 24.1 and 25 on the anniversary date of the accident.

(3) The amounts as adjusted pursuant to subsections (1) and (2) shall be applied in determining the amount of any benefit.

2002, c.44, s.9; 2004, c.35, s.7. Calculation of adjustment

30.2(1) Subject to section 30.3, if an amount is to be adjusted pursuant to this Division, the adjusted amount is the amount AM calculated in accordance with the following formula:

where:

A is the amount to be adjusted;

CPICY is the consumer price index for the year in which the adjustment is being made; and

CPIPY is the consumer price index for the previous year. AM = A x CPICY

Figure

Updating...

References